uworld 4472 has new table it seems that includes cefpodoxime and not cephalexin like previous table listed; educational objective doesnt mention the this 4th treatment tho; "All pregnant patients are screened and treated for asymptomatic bacteriuria at the initial prenatal visit due to the risk for acute pyelonephritis and complications (eg, preterm delivery, low birth weight) associated with untreated asymptomatic bacteriuria. The most common pathogen is Escherichia coli. First-line antibiotics include nitrofurantoin, trimethoprim-sulfamethoxazole, and fosfomycin; the choice depends on gestational age"; does mention cephalexin only in context of contraindications to the 4 first line listed in table: " If contraindications (ie, medication allergies) exist, alternate options include beta-lactams (eg, amoxicillin-clavulanate, cephalexin); however, rising bacterial resistance may limit their utility"; card needs updated to reflect uworld table change imo; new table also includes blurb about avoiding nitro in 1st and 3rd trimester but no reasons given in explanation or table
